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Implant overdenture using milled bar and attachment in partially edentulous mandible: a case report 下颌部分无牙种植覆盖义齿磨棒附着体1例
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.1.71
Min-Jung Kim, Jung-Bo Huh, Chang-Mo Jeong, Mi-Jung Yun, So-Hyoun Lee, Yong-Bum Jo
Excessive crown height space increases can cause crestal bone loss and screw loosening after prosthesis is placed. Milled bar and implant overdenture can be used as a treatment method for partially edentulous patients who have severe alveolar bone loss and excessive crown height space. Milled bar can provide primary splinting effect and stability between implants. Also, milled bar with additional retention device such as Advanced Dental Device-Treatment Of Choice (ADD-TOC) and magnet can provide additional retention force for implant overdenture. In this case, the patient has a partially edentulous mandible that has severe alveolar bone loss and multiple number of teeth loss after excision due to leiomyosarcoma. Because of the long-term loss of mandibular molars, the opposing teeth were extruded. Maxillary left molars were corrected to the occlusal plane through molar intrusion, and mandibular left molar region were treated with implant overdenture, using milled bar with ADD-TOC and magnet after implant placement. The clinical result was satisfactory on the aspect of esthetic and masticatory function. (J Korean Acad Prosthodont 2022;60:71-9)
假体放置后,冠高间距增加过多会导致冠骨丢失和螺钉松动。磨牙棒和种植覆盖义齿可以作为部分无牙患者牙槽骨严重丢失和牙冠高度间隙过大的治疗方法。磨棒可以提供初级的夹板效果和种植体之间的稳定性。此外,磨棒与附加固位装置(如高级牙科设备治疗选择(ADD-TOC))和磁铁可以提供额外的固位力种植覆盖义齿。本例患者下颌骨部分无牙,因平滑肌肉瘤切除后出现严重的牙槽骨丢失和多颗牙齿丢失。由于下颌磨牙长期脱落,对牙被挤压。上颌左磨牙通过磨牙侵入矫正至咬合平面,下颌骨左磨牙区种植覆盖义齿,种植后使用ADD-TOC磨棒和磁铁处理。临床结果在审美和咀嚼功能方面令人满意。(韩国口腔医学学报2022;60:71-9)
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引用次数: 0
A study of the tensile bond strength between Polyetherketoneketone (PEKK) and various veneered denture base resin 聚醚酮酮(PEKK)与各种义齿基托树脂抗拉强度的研究
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.3.231
Yeon-Hee Park, Jae-Min Seo, Jung-Jin Lee
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引用次数: 0
Evaluation methods of occlusal vertical dimension and their clinical applications: A narrative review 咬合垂直度评价方法及其临床应用综述
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.4.301
Min-Kyu Sun, H. Moon, Jaeyoung Kim
In an extensive oral rehabilitation, determining a proper occlusal vertical dimension is a critical step and the starting point for successful treatment. Since changing the occlusal vertical dimension could be time-consuming, financially challenging, and physically demanding for both clinicians and patients, multi-fac-eted analysis and careful consideration are essential in the diagnosis and further treatment process. The purpose of this narrative review is to discuss the occlusal vertical dimension and its current issues, and to summarize previous methods of evaluating occlusal vertical dimension to propose clinical guidance for determining a viable occlusal vertical dimension for full-mouth rehabilitation. (J Korean Acad Prosthodont 2022;60:301-12)
在广泛的口腔康复中,确定合适的咬合垂直尺寸是成功治疗的关键步骤和起点。由于改变咬合垂直尺寸对临床医生和患者来说可能是耗时的,经济上具有挑战性的,并且对身体要求很高,因此在诊断和进一步治疗过程中,多方面的分析和仔细考虑是必不可少的。本文的目的是讨论咬合垂直尺寸及其目前存在的问题,并总结以往评估咬合垂直尺寸的方法,为确定可行的全口康复咬合垂直尺寸提供临床指导。[韩国口腔医学杂志2022;60:301-12]
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引用次数: 0
Maxillary complete denture fabrication cases with posterior palatal seal considering palatal form and tissue displacement 考虑腭形态和组织移位的后腭封闭上颌全口义齿制作病例
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.2.152
Seon-A Kim, Mee-Kyung Son, Yu-ri Heo
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引用次数: 0
Fabrication of complete denture using 3D printing: a case report 应用3D打印技术制作全口义齿1例报告
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.2.202
Eun-Goo Lee, Chan Park, Kwidug Yun, Hyun-Pil Lim, Sangwon Park
Recently with the advance in digital dentistry, the fabrication of dentures using computer-aided design and computer-aided manufacturing (CAD-CAM) is on the rise. The denture designed through a CAD software can be produced in a 3-di-mensional manufacturing process. This process includes a subtractive processing method such as milling and an additive processing method such as 3D printing and in which it can be applied efficiently in more complex structures. In this case, complete dentures were fabricated using Stereolithography (SLA)-based 3D printing to shorten the production time and interval of visits in patient with phys-ical disabilities due to cerebral infarction. For definitive impression, the existing interim denture was digitally replicated and used as an individual tray. The definitive impression obtained with polyvinyl siloxane impression material was includ-ing information about the inclination and length of the maxillary anterior teeth, vertical dimension, and centric relation. In addition, facial scan data with interim denture was obtained so that it can be used as a reference in determination of the occlusal plane and in arrangement of artificial teeth during laboratory work. Artificial teeth were arranged through a CAD program, and a gingival festooning was performed. The definitive dentures were printed by SLA-based 3D printer using a FDA-approved liquid photocurable resin. The denture showed adequate reten-tion, support, and stability, and results were satisfied functionally and aesthetical-ly. (J Korean Acad Prosthodont 2022;60:202-10)
近年来,随着数字牙科技术的发展,使用计算机辅助设计和计算机辅助制造(CAD-CAM)制作假牙的方法越来越多。通过CAD软件设计的义齿可以在三维制造过程中生产。该工艺包括诸如铣削的减法加工方法和诸如3D打印的加法加工方法,并且可以在更复杂的结构中有效地应用。本案例采用基于立体光刻(SLA)的3D打印技术制作全口义齿,缩短脑梗死肢体残疾患者的制作时间和就诊间隔。为了获得确切的印象,现有的临时义齿被数字复制并用作单独的托盘。聚氯乙烯硅氧烷印模材料获得的确切印模包括上颌前牙的倾斜度和长度、垂直尺寸和中心关系等信息。此外,还获得了带临时义齿的面部扫描数据,可作为实验室工作中确定咬合平面和安排义齿的参考。通过CAD程序排列假牙,并进行牙龈装饰。最终义齿使用fda批准的液体光固化树脂,由基于sla的3D打印机打印。修复后的义齿具有良好的固位、支撑力和稳定性,在功能和美观上均获得满意的效果。[韩国口腔医学学报,2022;60:202-10]
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引用次数: 0
Implant-supported fixed prosthetic restoration using a high performance polymer (PEKK) in a mandibular unilateral resection: A case report 使用高性能聚合物(PEKK)种植体支持固定假体修复下颌单侧切除术:1例报告
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.3.254
Dae-Ryong Kong, Gyeong-Won Min, Ki-Yeol Jang, Gyeong-Je Lee, Sun-Haeng Lee
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引用次数: 0
Flexible IARPD considering the prevention of combination syndrome: a case report 考虑预防联合综合征的灵活IARPD: 1例报告
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.4.347
So-yeun Kim
Traditional denture treatment is often performed in patients with the completely edentulous maxilla and the bilateral edentulous posterior mandible. However, with a long-term prognosis, a complication called ‘combination syndrome’ may occur in this oral environment. In this case, by applying an implant-assisted removable partial denture (IARPD), it is possible to preserve the alveolar bone and prevent combination syndrome. In this case, when additional implants are placed in the edentulous area, the stress applied to the abutment due to the movement of the removable denture can be reduced, so it is possible to design an esthetic clasp using resin rather than metal, and flexible denture base resin is used. As a treatment for maxillary complete denture and mandibular flexible IARPD, it showed an esthetic and functional long-term prognosis with minimal cost and surgery. (J Korean Acad Prosthodont 2022;60:347-53)
传统的义齿治疗多用于上颌全无牙和后下颌双侧无牙的患者。然而,长期预后,一种称为“联合综合征”的并发症可能发生在这种口腔环境中。在这种情况下,通过使用种植辅助可移动局部义齿(IARPD),可以保护牙槽骨并预防联合综合征。在这种情况下,当在无牙区放置额外的种植体时,由于活动义齿的运动而施加在基牙上的应力可以减少,因此可以使用树脂而不是金属设计美观的卡环,并使用柔性义齿基托树脂。作为上颌全口义齿和下颌柔性IARPD的一种治疗方法,它具有美观和功能良好的长期预后,且成本低,手术少。[韩国口腔医学杂志2022;60:347-53]
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引用次数: 0
Full mouth rehabilitation in osteoporosis patient with loss of teeth and excessive wear 骨质疏松症患者缺牙过度磨损的全口康复
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.1.63
Hyuntae Kim, Myung-Joo Kim, Y. Lim, H. Kwon
Teeth wear with loss of posterior support often leads to symptoms such as irregu-lar occlusal plane and excessive wear of anterior In such environment, es-tablishing proper posterior support and harmonious anterior guidance and occlusal plane is recommended. In this case, the patient had excessively worn dentition with loss of posterior support, while denying surgical treatment due to her(his) history of osteoporosis, ibandronate injection, and risk of medication-related osteonecrosis of the jaw (MRONJ). To recover the vertical space needed for prosthetic restoration, full mouth rehabilitation with vertical dimension increase of remain-ing teeth was decided. Missing teeth in the posterior area were restored with mandibular removable partial denture. The treatment plan was determined through careful diagnosis, and every step of procedures including tooth preparation, provisional phase with the increased vertical dimension, and definitive prosthetic phase were carried out accordingly. Once the treatment was completed, the patient was satisfied functionally and esthetically. Periodic examination of oral hygiene, occlusal stability was conducted. (J Korean Acad Prosthodont 2022;60:63-70)
牙齿磨损失去后牙托,往往会导致咬合平面不规则、前牙过度磨损等症状。在这种环境下,建议建立适当的后牙支撑,前牙引导与咬合平面协调。本例患者牙列过度磨损,失去后牙支撑,但由于骨质疏松史、伊班膦酸盐注射史以及药物相关性颌骨骨坏死风险(MRONJ),拒绝手术治疗。为了恢复义齿修复所需的垂直空间,决定增加残牙垂直尺寸的全口康复。采用下颌可摘局部义齿修复后牙缺失。通过仔细的诊断确定治疗方案,并相应地进行牙齿准备,增加垂直尺寸的临时阶段和最终假体阶段的每一步程序。一旦治疗完成,患者在功能和美学上都很满意。定期检查口腔卫生、咬合稳定性。(韩国口腔医学学报2022;60:63-70)
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引用次数: 0
Fabrication of functionally customized fixed prosthesis in a hemimandibulectomy patient with fibular graft using double scan technique: A case report 应用双扫描技术在腓骨移植半下颌管切除术患者中制作功能定制固定假体:1例报告
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.2.195
Thaw Thaw Win, Du-Hyeong Lee
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引用次数: 1
Full mouth rehabilitation of the patient with severely worn dentition and limited vertical dimension 牙列严重磨损及垂直尺寸受限患者的全口康复
Pub Date : 2022-01-01 DOI: 10.4047/jkap.2022.60.1.91
Min-Seong Yang, Seong-Kyun Kim, S. Heo, J. Koak, Ji-Man Park, Yuseung Yi
Severely worn dentition causes various complications such as loss of tooth struc-ture, discoloration, pulp complications and loss of function and aesthetics. In this case, the patient showed particularly severe attrition in the anterior teeth and lack of space for restoration. The amount of vertical dimension was determined based on the diagnostic wax up, and the patient’s adaptation was evaluated by using a removable occlusal splint for 6 weeks. Thereafter, the coordination of the muscu-lar nervous system, aesthetics, temporomandibular joint were re-evaluated for 3 months by restoring the fixed provisional restoration. Through the above treatment process, the final restoration was completed with full mouth fixed prosthe-sis using monolithic zirconia, and functionally and aesthetically stable results were obtained. (J Korean Acad Prosthodont 2022;60:91-9)
牙列严重磨损会导致各种并发症,如牙齿结构丧失、变色、牙髓并发症以及功能和美观丧失。在本例中,患者表现出特别严重的前牙磨损和缺乏修复空间。根据诊断的上蜡量确定垂直尺寸的大小,并通过使用可移动的咬合夹板6周来评估患者的适应性。术后3个月,通过修复固定的临时修复,重新评估肌肉神经系统的协调性、美观性、颞下颌关节。通过以上处理过程,最终采用整体氧化锆全口固定义齿完成修复,获得了功能和美观稳定的结果。(韩国口腔医学学报2022;60:91-9)
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The Journal of Korean Academy of Prosthodontics
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